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Individual
SORI KIM
Active
Individual
SORI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193895
TN
163W00000X
Registered Nurse
95281041
CA
363LF0000X
Family Nurse Practitioner
31318
TN
363LF0000X
Family Nurse Practitioner
Primary
95026540
CA
Other
Enumeration date
03/20/2022
Last updated
07/09/2026
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